Active NPI
Jignesh P Mistry, PA-C
- Medical Physician Assistant
- Plano, TX
National Provider Identifier
1194048124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA06507
- Practice address
- 2500 Dallas Pkwy Ste 111
Plano, TX 75093-4876 - Phone
- (817) 360-1791
- NPI assigned
- Mar 4, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA06507 | TX | Primary |
Addresses
Primary practice location
2500 Dallas Pkwy Ste 111
Plano, TX 75093-4876
Mailing address
2500 Dallas Pkwy Ste 111
Plano, TX 75093-4876
Phone (817) 360-1791
Other practice location 1
5207 Heritage Ave
Colleyville, TX 76034-5915
Phone (817) 355-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA06507 | TX | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elis Medical Corporation | Medical | Past | Accepting new patients |
| V. John Gonino D.O, P.a. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGAJDD
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Heath, TX
- NPI 1346493285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1194048124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 DALLAS PKWY STE 111",
"city": "PLANO",
"state": "TX",
"postal_code": "750934876",
"telephone_number": "817-360-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 DALLAS PKWY STE 111",
"city": "PLANO",
"state": "TX",
"postal_code": "750934876",
"telephone_number": "817-360-1791"
}
],
"practiceLocations": [
{
"address_1": "5207 Heritage Ave",
"address_purpose": "LOCATION",
"city": "Colleyville",
"state": "TX",
"postal_code": "760345915",
"country_code": "US",
"telephone_number": "817-355-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISTRY",
"first_name": "JIGNESH",
"middle_name": "P",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-04",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA06507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.